Individual
DR. ALAN SALVADOR HERNANDEZ LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3100 E SERVICE RD STE 101, CERES, CA 95307-6422
(209) 542-9921
Mailing address
3100 E SERVICE RD STE 101, CERES, CA 95307-6422
(805) 458-6051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS105485
CA
Other
Enumeration date
03/19/2021
Last updated
04/25/2022
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